NPIMap

Organization Active NPI

Pearline, DDS & Roach, DMD, PC

  • Endodontics
  • Saint Louis, MO
National Provider Identifier
1184816431
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
012927 Issued in MO
Legal business name
PEARLINE, DDS & ROACH, DMD, PC
Doing business as
West County Endodontics, Ltd
Practice address
777 S New Ballas Rd Ste 201W
Saint Louis, MO 63141-8717
Phone
(314) 991-5859
Fax
(314) 991-1896
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rodrick Evan Pearline, DDSNPI 1184777906
Title
President
Phone
(314) 991-5850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 012927 MO Primary

Addresses

Primary practice location

777 S New Ballas Rd Ste 201W
Saint Louis, MO 63141-8717

Mailing address

777 S New Ballas Rd Ste 201W
Saint Louis, MO 63141-8717
Phone (314) 991-5859

Other names 1

  • West County Endodontics, Ltd Doing business as

National Provider Directory

National Provider Directory

Locations

777 S New Ballas Rd
Ste 201W
Saint Louis, MO 63141
Phone (314) 991-5850

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1184816431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S NEW BALLAS RD STE 201W",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418717",
            "telephone_number": "314-991-5859",
            "fax_number": "314-991-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S NEW BALLAS RD STE 201W",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418717",
            "telephone_number": "314-991-5859",
            "fax_number": "314-991-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLINE, DDS & ROACH, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "PEARLINE",
        "authorized_official_first_name": "RODRICK",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-991-5850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MO",
            "license": "012927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West County Endodontics, Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.